The longitudinal age and birth cohort trends of regular exercise among adults aged 16–63 years in Sweden: a 24-year follow-up study

Population Health Metrics

Sven-Erik Johansson²  Kristina Sundquist¹  Jan Sundquist¹  Patrik Midlöv²  Matti Leijon² 

[1] Stanford Prevention Research Center, Stanford University, Palo Alto, CA, USA;Department of Clinical Science, Center for Primary Health Care Research, Lund University, Skåne University Hospital, Jan Waldenströms gata 35, Malmö, 205 02, Sweden

关键词: Public health;    Mixed models;    Cohort effect;    Longitudinal studies;    Lifestyle;    Physical activity;    Exercise;   

Others  :  1221575
DOI  :  10.1186/s12963-015-0049-x

 received in 2014-11-21, accepted in 2015-06-25,  发布年份 2015

【 摘 要 】

Background

The aim of this study is to analyze longitudinally, based on four measurements at intervals of eight years, the annual effect of age group and birth cohort on regular exercise in the Swedish population from 1980–1981 to 2004–2005.

Methods

We followed a randomly drawn subsample of individuals aged 16–63 years, interviewed by professional interviewers, from the Swedish Annual Level of Living Survey. We applied a mixed model with a random intercept and a random slope in order to analyze the annual effects.

Results

The prevalence of regular exercise increased annually by 0.3 % among men and 0.7 % among women. For every one-unit increase in BMI, the odds of regular physical activity decreased by 6 % among men and 5 % among women. While the female birth cohorts all increased over time the male birth cohorts showed a different pattern, as only the three oldest birth cohorts (1926–1933, 1934–1941, 1942–1949) showed an increase in regular exercise. The three youngest birth cohorts (1958–1965, 1966–1973, 1974–1981) instead showed a decreased prevalence of regular exercise. There was an inverse relationship between regular exercise and age, although the differences between age groups tended to decrease over time. Differences related to educational level increased over time as the prevalence of exercise among those with higher educational attainment increased more than among those with lower educational attainment. The most dramatic relative increase in exercise over time (almost two-fold) was found among those who were obese or who reported a poor health status.

Conclusions

The prevalence of regular exercise increased in all studied sub-groups. However, the increased difference related to education level is worrying. To reduce the risk for ill health in these groups, there is a need for targeted interventions.

【 授权许可】

   
2015 Leijon et al.

【 参考文献 】

• [1]Global recommendations on physical activity for health. World Health Organization, Geneva; 2010.
• [2]The World health report : 2002 : Reducing the risks, promoting healthy life. World Health Organization, Geneva; 2002.
• [3]Agardh E, Moradi T, Allebeck P. The contribution of risk factors to the burden of disease in Sweden. A comparison between Swedish and WHO data. Lakartidningen. 2008; 105(11):816-21.
• [4]Brønnum-Hansen H, Juel K, Davidsen M, Sørensen J. Impact of selected risk factors on expected lifetime without long-standing, limiting illness in Denmark. Prev Med. 2007;45(1):49–53.
• [5]Physical Activity Guidelines Advisory Committee Report, 2008. Department of Health and Human Services, Washington, DC; 2008.
• [6]Physical Activity and Health: A report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta; 1996.
• [7]Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985; 100(2):126-31.
• [8]Global strategy on diet, physical activity and health. World Health Organization, Geneva; 2004.
• [9]The Swedish Government, Regeringens proposition 2002/03:35 “Mål för folkhälsan” (Government Bill 2002/03:35 - Public health objectives). (In Swedish). 2002: Stockholm.
• [10]Thurston M, Green K. Adherence to exercise in later life: how can exercise on prescription programmes be made more effective? Health Promot Int. 2004; 19(3):379-87.
• [11]Norman A, Bellocco R, Vaida F, Wolk A. Age and temporal trends of total physical activity in Swedish men. Med Sci Sports Exerc. 2003;35(4):617–22.
• [12]Orsini N, Bellocco R, Bottai M, Pagano M, Wolk A. Age and temporal trends of total physical activity among Swedish women. Med Sci Sports Exerc. 2006;38(2):240–5.
• [13]Petersen CB, Thygesen LC, Helge JW, Grønbaek M, Tolstrup JS. Time trends in physical activity in leisure time in the Danish population from 1987 to 2005. Scand J Public Health. 2010;38(2):121–8.
• [14]Borodulin K, Laatikainen T, Juolevi A, Jousilahti P. Thirty-year trends of physical activity in relation to age, calendar time and birth cohort in Finnish adults. Eur J Public Health. 2008;18(3):339–44.
• [15]Craig CL, Russell SJ, Cameron C, Bauman A. Twenty-year trends in physical activity among Canadian adults. Can J Public Health. 2004;95(1):59–63.
• [16]Allman-Farinelli MA, Chey T, Merom D, Bowles H, Bauman AE. The effects of age, birth cohort and survey period on leisure-time physical activity by Australian adults: 1990–2005. Br J Nutr. 2009;101(4):609–17.
• [17]Ng N, Söderman K, Norberg M, Öhman A. Increasing physical activity, but persisting social gaps among middle-aged people: trends in Northern Sweden from 1990 to 2007. Glob Health Action. 2011;4:6347.
• [18]Alonso-Blanco C, Palacios-Ceña D, Hernández-Barrera V, Carrasco-Garrido P, Jiménez-García R, Fernández-de-Las-Peñas C. et al. Trends in leisure time and work-related physical activity in the Spanish working population, 1987–2006. Gac Sanit. 2012;26(3):223–30.
• [19]Devonshire-Gill KR, Norton KI. Proportion of adults achieving sufficient physical activity increases in South Australia, 1998–2010. Popul Health Metr. 2013; 11(1):23. BioMed Central Full Text
• [20]Guessous I, Gaspoz JM, Theler JM, Kayser B. Eleven-year physical activity trends in a Swiss urban area. Prev Med. 2014;59:25–30.
• [21]M. Sjöström, P. Oja, M. Hagströmer, B. J. Smith, A. Bauman Health-enhancing physical activity across European Union countries: the Eurobarometer study. J Public Health (Oxf). 2006;14:291–300.
• [22]Bergman P, Grjibovski AM, Hagströmer M, Bauman A, Sjöström M. Adherence to physical activity recommendations and the influence of socio-demographic correlates - a population-based cross-sectional study. BMC Public Health. 2008;8:367.
• [23]Sweden S. The Swedish survey of living conditions. Design and method. S. Sweden, Editor. 1996: Stockholm, Sweden
• [24]Sundquist K, Qvist J, Johansson SE, Sundquist J. The long-term effect of physical activity on incidence of coronary heart disease: a 12-year follow-up study. Prev Med. 2005;41(1):219–25.
• [25]Sundquist K, Qvist J, Sundquist J, Johansson SE. Frequent and occasional physical activity in the elderly: a 12-year follow-up study of mortality. Am J Prev Med. 2004;27(1):22–7.
• [26]Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. et al. Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000;71(2 Suppl):S1–14.
• [27]Sallis JF, Saelens BE. Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000; 71(2 Suppl):S1-14.
• [28]Wärneryd, B. Levnadsförhållanden. Återintervjustudie i undersökningen av levnadsförhållanden 1989 (ULF). (Living conditions. Reinterview in ULF 1989.) Appendix 12. 1991, Statistics Sweden.